FDA Adverse Event Death Summary report: N

ORAL SYRINGE W/TIP CAP 5ML

MDR report key: 17747644 · Received September 14, 2023

Report

Report Number
MW5145652
Event Type
Death
Date Received
September 14, 2023
Report Date
September 11, 2023
Manufacturer
BD
Product Code
KYX
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
AZ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PT PASSED AWAY, CAUSE OF DEATH NOT PROVIDED BY REPORTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
357864 ORAL SYRINGE W/TIP CAP 5ML DISPENSER, LIQUID MEDICATION KYX BD

Patients

Seq Age Sex Outcome Treatment
1 0 YR Male Death